Why is continuous electronic fetal monitoring usually used when ...

[Jkov05]

Why is continuous electronic fetal monitoring usually used when oxytocin is administered?
 
  a. The mother may become hypotensive.
  b. Uteroplacental exchange may be compromised.
  c. Maternal fluid volume deficit may occur.
  d. Fetal chemoreceptors are stimulated.

Question 2

You are a maternal-newborn nurse caring for a mother who just delivered a baby born with Down syndrome. What nursing diagnosis is the most essential in caring for the mother of this infant?
 
  a. Disturbed body image
  b. Interrupted family processes
  c. Anxiety
  d. Risk for injury

[wfdfwc23]

Answer to Question 1

B
Feedback
A Hypotension is not a common side effect of oxytocin.
B The uterus may contract more firmly, and the resting tone may be increased with
oxytocin use. This response reduces entrance of freshly oxygenated maternal
blood into the intervillous spaces, depleting fetal oxygen reserves.
C All laboring women are at risk for fluid volume deficit; oxytocin administration
does not increase the risk.
D Oxytocin affects the uterine muscles.

Answer to Question 2

B
Feedback
A Women commonly experience body image disturbances in the postpartum
period, but this is unrelated to giving birth to a child with Down syndrome.
B This mother likely will experience a disruption in the family process related to
the birth of a baby with an inherited disorder. Family disruption is common, and
the strain of having a child with a serious birth defect may lead to divorce.
Siblings may feel neglected because the child with a disorder requires more of
their parents' time and attention.
C The mother likely will have a mix of emotions that may include anxiety, guilt,
and denial, but this is not the most essential nursing diagnosis for this family.
D This nursing diagnosis is not applicable.

[Jkov05]

TYSM

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